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Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve weeks.
A bimalleolar fracture is a fracture of the ankle that involves the lateral malleolus and the medial malleolus. Studies have shown [ 1 ] that bimalleolar fractures are more common in women, people over 60 years of age, and patients with existing comorbidities.
Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion. Most modern plates include bone screws to help the orthopedic plate stay in place.
Following open-reduction, internal fixation is usually performed to stabilise the ankle mortise. To account for the distal fibula being slightly posterior to the distal tibia, drill holes are angled at 30° from the anteromedial aspect of the tibia to the posterolateral aspect of the fibula.
If patients still have pain and impaired ankle function after these measures, then other procedures such as ankle arthrodesis and ankle arthroplasty can be considered. [17] Nonunion is rare following surgical fixation of ankle fractures but can be managed with bone grafts and stable internal fixation. [17]
usually stable: occasionally nonetheless requires an open reduction and internal fixation (ORIF) particularly if medial malleolus fractured; Type B. Fracture of the fibula at the level of the syndesmosis. Typical features: at the level of the ankle joint, extending superiorly and laterally up the fibula
The ankle remains externally rotated after the injury, making interpretation of X-rays difficult which can lead to misdiagnosis and incorrect treatment. [2] The injury is most commonly treated by open reduction internal fixation as closed reduction is made difficult by the entrapment of the fibula behind the tibia. [1]